Renal System Pathology Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

Disease of the kidney are divided into four categories depending on which component of the kidney is primarily affected. Which of the following is NOT one of those categories?

  • Interstitial
  • Vascular
  • Renal (correct)
  • Tubular
  • Glomerular

Glomerular disease is often immunologically mediated.

True (A)

Tubular and interstitial disorders are more likely to be caused by infectious agents than glomerular disease.

True (A)

Nephrotic syndrome is characterized by which of the following?

<p>All of the above (E)</p> Signup and view all the answers

Which of the following is NOT a symptom associated with Nephritic syndrome?

<p>Hyperlipidemia (D)</p> Signup and view all the answers

Berger's disease, also known as IgA nephropathy, is the most common cause of primary glomerulonephritis.

<p>True (A)</p> Signup and view all the answers

The early manifestations of each group of kidney diseases tend to be ______.

<p>distinctive</p> Signup and view all the answers

What is the name for the group of diseases that involve the formation of cysts in the kidneys?

<p>Cystic diseases of the kidney</p> Signup and view all the answers

Cystic kidney diseases are a heterogeneous group and can be hereditary, developmental, or acquired.

<p>True (A)</p> Signup and view all the answers

Why are cystic kidney diseases considered important?

<p>All of the above (E)</p> Signup and view all the answers

Autosomal dominant polycystic kidney disease is characterized by:

<p>All of the above (E)</p> Signup and view all the answers

The mode of inheritance for autosomal dominant polycystic kidney disease is autosomal recessive.

<p>False (B)</p> Signup and view all the answers

What genes are associated with autosomal dominant polycystic kidney disease?

<p>Both A and B (C)</p> Signup and view all the answers

Mutations in PKD1 are responsible for more severe cases of autosomal dominant polycystic kidney disease.

<p>True (A)</p> Signup and view all the answers

What type of cells does Polycystin-1 localize to?

<p>Primary cilium of tubular cells</p> Signup and view all the answers

Autosomal recessive polycystic kidney disease is more common than autosomal dominant polycystic kidney disease.

<p>False (B)</p> Signup and view all the answers

Autosomal recessive polycystic kidney disease is subcategorized based on:

<p>Both A and B (C)</p> Signup and view all the answers

The gene associated with autosomal recessive polycystic kidney disease is called PKHD1.

<p>True (A)</p> Signup and view all the answers

Which of the following is NOT a common extrarenal manifestation of autosomal dominant polycystic kidney disease?

<p>Pancreatitis (C)</p> Signup and view all the answers

Glomerular diseases are among the most common causes of Chronic kidney failure in humans.

<p>True (A)</p> Signup and view all the answers

The pathogenesis of glomerular diseases is primarily due to immune mechanisms.

<p>True (A)</p> Signup and view all the answers

What are the two main histologic characteristics of glomerular diseases?

<p>Focal segmental glomerulosclerosis and Tubulo-interstitial fibrosis</p> Signup and view all the answers

Which of the following is a secondary (systemic) disease associated with glomerular diseases?

<p>All of the above (E)</p> Signup and view all the answers

Minimal Change Disease (lipoid nephrosis) is a rare glomerular disease.

<p>False (B)</p> Signup and view all the answers

Minimal Change Disease is primarily associated with adults, specifically those between 30-50 years old.

<p>False (B)</p> Signup and view all the answers

Minimal Change Disease is characterized by diffuse thickening of the glomerular basement membrane.

<p>False (B)</p> Signup and view all the answers

Minimal Change Disease often leads to a rapid decline in renal function.

<p>False (B)</p> Signup and view all the answers

Treatment with corticosteroids is often effective in managing Minimal Change Disease.

<p>True (A)</p> Signup and view all the answers

Membranous glomerulonephropathy is a common cause of nephrotic syndrome in adults.

<p>True (A)</p> Signup and view all the answers

Membranous glomerulonephropathy is usually caused by an immune response to a specific infectious agent.

<p>False (B)</p> Signup and view all the answers

The formation of the membrane attack complex is linked to the action of C5b-C9.

<p>True (A)</p> Signup and view all the answers

Membranous glomerulonephropathy is more commonly associated with secondary forms than primary forms.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT a common secondary form of membranous glomerulonephropathy?

<p>None of the above are commonly associated. (F)</p> Signup and view all the answers

Membranous glomerulonephropathy is characterized by a diffuse thickening of the glomerular capillary wall.

<p>True (A)</p> Signup and view all the answers

Electron microscopy reveals granular deposits in the subepithelial side of the basement membrane in membranous glomerulonephropathy.

<p>True (A)</p> Signup and view all the answers

Membranous glomerulonephropathy is associated with poor prognosis and a high risk of rapidly progressing to kidney failure.

<p>False (B)</p> Signup and view all the answers

Focal segmental glomerulosclerosis is characterized by scarring of the glomeruli.

<p>True (A)</p> Signup and view all the answers

Focal segmental glomerulosclerosis is typically considered a primary glomerular disease.

<p>False (B)</p> Signup and view all the answers

Focal segmental glomerulosclerosis often presents with a high incidence of hematuria and hypertension.

<p>True (A)</p> Signup and view all the answers

Patients with Focal segmental glomerulosclerosis often respond well to corticosteroid therapy.

<p>False (B)</p> Signup and view all the answers

Focal segmental glomerulosclerosis is characterized by a diffuse thickening of the glomerular basement membrane.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT a common setting in which Focal segmental glomerulosclerosis can occur?

<p>None of the above (F)</p> Signup and view all the answers

Focal segmental glomerulosclerosis often progresses to global glomerular sclerosis and kidney failure.

<p>True (A)</p> Signup and view all the answers

Poststreptococcal glomerulonephritis is characterized by a rapid onset, typically occurring within 1-4 weeks after a streptococcal infection.

<p>True (A)</p> Signup and view all the answers

Poststreptococcal glomerulonephritis primarily affects adults.

<p>False (B)</p> Signup and view all the answers

Only Type A streptococci are nephrogenic.

<p>False (B)</p> Signup and view all the answers

Poststreptococcal glomerulonephritis typically presents with a classic symptom triad of: fever, malaise, and oliguria.

<p>True (A)</p> Signup and view all the answers

Poststreptococcal glomerulonephritis often exhibits hyperlipidemia.

<p>False (B)</p> Signup and view all the answers

The pathogenesis of Poststreptococcal glomerulonephritis is primarily due to immune complex formation against streptococcal antigens.

<p>True (A)</p> Signup and view all the answers

Poststreptococcal glomerulonephritis is characterized by a uniform increase in cellularity within the glomeruli.

<p>True (A)</p> Signup and view all the answers

Electron microscopy often reveals subepithelial humps in Poststreptococcal glomerulonephritis, indicating immune complex deposits above the basement membrane.

<p>True (A)</p> Signup and view all the answers

The prognosis for Poststreptococcal glomerulonephritis is excellent, with most cases leading to complete recovery.

<p>True (A)</p> Signup and view all the answers

IgA nephropathy (Berger's disease) is a rare form of glomerulonephritis.

<p>False (B)</p> Signup and view all the answers

IgA nephropathy is primarily associated with the deposition of IgA within the mesangium.

<p>True (A)</p> Signup and view all the answers

IgA nephropathy often presents with recurrent hematuria.

<p>True (A)</p> Signup and view all the answers

IgA nephropathy is often associated with a recent upper respiratory tract infection.

<p>True (A)</p> Signup and view all the answers

The pathogenesis of IgA nephropathy is linked to a deficiency in IgA.

<p>False (B)</p> Signup and view all the answers

IgA nephropathy is characterized by a variable degree of mesangial proliferation.

<p>True (A)</p> Signup and view all the answers

Electron microscopy can help identify the presence of electron-dense deposits within the mesangium in IgA nephropathy.

<p>True (A)</p> Signup and view all the answers

Flashcards

Glomerular Diseases

A group of kidney diseases primarily affecting the filtering units (glomeruli) of the kidney.

Tubular Diseases

A group of kidney diseases primarily affecting the tubules responsible for reabsorbing essential substances.

Interstitial Diseases

A group of kidney diseases primarily affecting the supportive tissue surrounding the nephrons.

Vascular Diseases

A group of kidney diseases primarily affecting the blood vessels within the kidney.

Signup and view all the flashcards

Nephrotic Syndrome

A characteristic set of symptoms that include high protein levels in urine, low albumin levels in blood, generalized swelling, high lipids in blood, and lipids in the urine.

Signup and view all the flashcards

Nephritic Syndrome

A characteristic set of symptoms that include blood in the urine, protein in the urine, possible swelling, impaired kidney function, and high blood pressure.

Signup and view all the flashcards

Cystic Kidney Diseases

A diverse group of kidney disorders characterized by the formation of fluid-filled sacs (cysts) within the kidney.

Signup and view all the flashcards

Autosomal Dominant Polycystic Kidney Disease (ADPKD)

A type of inherited kidney disease causing multiple cysts in both kidneys, leading to kidney failure in adulthood.

Signup and view all the flashcards

Autosomal Recessive Polycystic Kidney Disease (ARPKD)

A rare, inherited kidney disease causing numerous small cysts in both kidneys, leading to kidney failure in childhood.

Signup and view all the flashcards

Medullary Cystic Disease

A type of inherited kidney disease causing cysts mainly in the medulla (inner part) of the kidneys, potentially leading to kidney failure.

Signup and view all the flashcards

Acquired Cystic Kidney Disease

A type of cystic kidney disease appearing after long-term dialysis treatment.

Signup and view all the flashcards

Simple Renal Cyst

A type of cystic kidney disease involving a single, usually benign, cyst in the kidney.

Signup and view all the flashcards

Renal Cysts in Hereditary Malformation Syndromes

A type of cystic kidney disease associated with various genetic syndromes that cause tumors and abnormalities.

Signup and view all the flashcards

Glomerulocystic Disease

A type of cystic kidney disease involving cysts in both the glomeruli and tubules, potentially leading to kidney failure.

Signup and view all the flashcards

Parasitic Cysts

A type of cystic kidney disease caused by parasitic infections, leading to cysts in the kidney.

Signup and view all the flashcards

Glomerulonephritis

A prevalent cause of kidney failure, characterized by inflammation and damage to the glomeruli.

Signup and view all the flashcards

Rapidly Progressive Glomerulonephritis (RPGN)

A form of kidney disease characterized by rapid deterioration of glomeruli, often leading to kidney failure.

Signup and view all the flashcards

Acute Diffuse Proliferative Glomerulonephritis (ADPGN)

A type of glomerulonephritis characterized by widespread inflammation of the glomeruli, often triggered by an immune complex reaction.

Signup and view all the flashcards

Membranous Glomerulonephritis (MGN)

A kidney disease characterized by thickening of the glomerular capillary wall, often caused by immune complexes.

Signup and view all the flashcards

Minimal Change Disease (Lipoid Nephrosis)

A type of glomerulonephritis characterized by minimal changes in the glomeruli under light microscopy but noticeable changes under electron microscopy.

Signup and view all the flashcards

Focal Segmental Glomerulosclerosis (FSGS)

A kidney disease characterized by sclerosis (scarring) affecting specific segments of glomeruli, often associated with various conditions such as HIV infection.

Signup and view all the flashcards

Membranoproliferative Glomerulonephritis (MPGN)

A type of glomerulonephritis characterized by a combination of mesangial proliferation and thickening of the basement membrane.

Signup and view all the flashcards

IgA Nephropathy (Berger Disease)

A type of glomerulonephritis characterized by deposits of IgA in the mesangium, commonly causing recurrent hematuria.

Signup and view all the flashcards

Acute Post-infectious (Post-streptococcal) Glomerulonephritis

A type of glomerulonephritis occurring after a streptococcal infection, usually affecting children.

Signup and view all the flashcards

Secondary Glomerulonephritis

A form of kidney disease characterized by damage to the glomeruli due to various systemic diseases, such as lupus.

Signup and view all the flashcards

Immune Complex Deposition

A process involving the deposition of immune complexes within the tissues.

Signup and view all the flashcards

Cytotoxic Antibodies

A process involving antibodies directly attacking the cells of the body.

Signup and view all the flashcards

Cell-mediated Immunity

A process involving immune cells attacking the body's own tissues.

Signup and view all the flashcards

Alternative Complement Pathway

A mechanism involved in initiating an inflammatory response, often triggered by immune complexes.

Signup and view all the flashcards

Focal Segmental Glomerulosclerosis

A type of glomerular scarring involving specific segments of glomeruli, often seen in various kidney diseases.

Signup and view all the flashcards

Tubulo-interstitial Fibrosis

A type of scarring affecting the tubules and interstitial tissue of the kidney, often associated with chronic kidney disease.

Signup and view all the flashcards

Study Notes

Renal System Pathology 1

  • The renal system is divided into four categories based on the primarily affected component: glomerular, tubular, interstitial, and vascular.
  • Early manifestations of each group of kidney diseases are distinctive.
  • Glomerular diseases are often immunologically mediated, while tubular and interstitial disorders are more likely caused by toxic or infectious agents.
  • Chronic renal disease eventually damages all four components, leading to chronic renal failure (end-stage kidney disease).

Nephrotic Syndrome

  • Characterized by proteinuria (3.5 g/day or more in adults), hypoalbuminemia (less than 3 g/dL), generalized edema, and hyperlipidemia/lipiduria.
  • Symptoms include edema (starts in the face), pale skin, tachycardia, vomiting

Nephritic Syndrome

  • Characterized by hematuria (blood in the urine) and red blood cell casts, proteinuria (usually in the sub-nephrotic range), azotemia (abnormally high nitrogen levels), and hypertension.
  • Symptoms include hematuria, blurred vision, oliguria (low output of urine), and hypertension

Cystic Diseases of the Kidney

  • These are heterogeneous disorders including hereditary, developmental, and acquired conditions.
  • They represent significant diagnostic challenges for clinicians, radiologists, and pathologists and can be major causes of chronic renal failure
  • They can be confused with malignant tumors.
  • Includes: cystic renal dysplasia, polycystic kidney disease (autosomal dominant and autosomal recessive), medullary cystic disease (medullary sponge kidney and nephronophthisis), acquired (dialysis-associated) cystic disease, and renal cysts in hereditary malformation syndromes (e.g., tuberous sclerosis). Includes parasitic cysts (e.g., hydatid cyst)

Autosomal Dominant Polycystic Kidney Disease (ADPKD)

  • Characterized by multiple cysts in both kidneys.
  • The cysts enlarge, destroying the renal parenchyma leading to renal failure.
  • Affects about 1 in 400 to 1000 live births; accounts for 5-10% of chronic renal failure requiring transplantation or dialysis.
  • The mode of inheritance is autosomal dominant, high penetrance
  • The disease is universally bilateral.

Autosomal Recessive Polycystic Kidney Disease (ARPKD)

  • A rare developmental anomaly.

  • Subcategorized based on presentation time (perinatal, neonatal, infantile, juvenile) and liver involvement.

  • The first two subtypes (perinatal and neonatal) are the most common.

  • Inheritance is autosomal recessive with a gene (PKHD1) mapping to chromosome 6p21-23.

  • Typically, shows enlarged kidneys with numerous small cysts in the cortex and medulla.

Glomerular Diseases

  • Immune mechanisms (antibody-based and cellular) underlie most primary and secondary glomerular diseases.
  • Histological changes of glomerular diseases are classified as diffuse, focal, global, segmental, and mesangial.
  • Categorization considers the proportion of affected glomeruli.

Immune-mediated Mechanisms

  • In situ immune complex deposition
  • Fixed intrinsic antigens
  • Planted antigens (external pathogens or drugs)
  • Endogenous antigens (DNA, proteins)

Non-immune Mechanisms:

  • Focal segmental glomerulosclerosis (FSGS)
  • Tubulointerstitial fibrosis

Minimal Change Disease

  • The most frequent cause of nephrotic syndrome in children.
  • Characterized by normal glomeruli under light microscopy, and diffuse effacement of foot processes under electron microscopy.
  • It's benign and most children respond to steroid therapy.

Membranous Glomerulonephropathy

  • Common cause of nephrotic syndrome in adults (ages 30–50).
  • Typically caused by chronic immune complex-mediated disease due to antibodies against renal GBM autoantigens.
  • Idiopathic in 85% of cases
  • It is characterized by diffuse thickening of the glomerular basement membrane, with subepithelial deposits (immune deposits) appearing as spikes, and loss of foot processes.

IgA Nephropathy (Berger's Disease)

  • Frequent cause of recurrent gross or microscopic hematuria.
  • Typically characterized by variable mesangial proliferation with IgA in mesangium.

Acute Postinfectious Post-streptococcal GN

  • Develops 1-4 weeks after a streptococcal infection (pharynx or skin).
  • Mostly affects children aged 6–10 years, but adults can get it.
  • Certain strains of group A, beta-hemolytic streptococci are nephrogenic.
  • Characterized by acute inflammation and proliferation of glomerular cells.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Renal System Pathology 1 PDF

More Like This

Renal System Anatomy and Pathology Quiz
17 questions
Patologia Renale e Funzione Clearance
41 questions
Aparato Urinario: Funciones y Patologías
24 questions
Use Quizgecko on...
Browser
Browser